低血容量休克复苏指...pdfVIP

chmcare ·129· crit Med，March2008，V01．20，No．3 中国危重病急救医学2008年3月第20卷第3期 ·标准与指南· 低血容量休克复苏指南(2007) 中华医学会重症医学分会 Guidelinesforresuscitationof shock(2007) Cd，它胁dicj”P，(了^?nPsP hypovolemic SofjP砂∥Crjfif盘Z Med记neAssocin￡ion a“thors：LIU Care UntonMeaic口z C0rresponding Dn一叫ei(Depnrtme扎to于CriticnzMedici扎e，Pe是lng College Meaicutscience or Hospi￡nz，Chinese Acdde7ny，Beijing GUAN IntensiveCareU扎it，The zinted a叫liM@pHmch．c扎]nndxinng—dong(SMrgical Flrs￡Aj了j Hospitaz， 5“，z—y口￡SP，z 2 63．卵Pf) U，zi口Prsjfy，(7“口”gz^o“5008D，G“醴挖gdo，29，C^i以以．E，Ⅺ以i，：cnrZg(够j shockisa conditi。n and lossof 【Abstract】Hypov01emicpathophysiologicproducedbyrapidsignificant intravascularv。1ume， to decreasesin 1eadingsequentiallyhemodynamicinstability， oxygendelivery， decreasedtissue and perfusion，cellular damage，multipleorgandys^Inctionsyndrome hypoxia，cellularorgan (MODS)andendin of shockand intervention may death．Earlyrecogniti。nhypovolemicpromptsystematic will avoid outc()mes．The isaimedtoreviewtheclinical of shock help poor guideline aspectshypoV01emic (including ofresuscitation，eta1．) toevidence． and recommendations provide according 1概述 丢失。显性丢失是指循环容量丢失至体外，失血是典型的显 低血容量休克是指各种原因引起的循环容量丢失而导 性丢失，如创伤、外科大手术的失血、消化道溃疡、食道静脉 致有效循环血量与心排血量(C0)减少、组织灌注不足、细胞 曲张破裂及产后大出血等疾病引起的急性大失血等。显性丢 代谢紊乱和功能受损的病理生理过程。